MRCP2-0182
A 57-year-old Afro-Caribbean man presents to his GP for a routine check-up of his hypertension treatment. He has a history of hypercholesterolemia and was diagnosed with hypertension 3 years ago. Despite being on ramipril and amlodipine, his blood pressure readings have been consistently high over the past 4 months. He has already made lifestyle modifications by reducing salt intake and increasing physical activity. He denies smoking or drinking alcohol.
During the examination, his blood pressure is recorded as 160/98 mmHg, and his pulse rate is 82/min. He has a BMI of 33 kg/m² and an elevated waist-to-hip ratio.
What is the most appropriate next step in managing this patient’s hypertension?